Federal inspection record · CMS data as of October 1, 2026
Quality Life Services - Westmont
787 Goucher Street, Johnstown, PA · (814) 255-5539
- Certified beds
- 41
- Residents per day
- 36
- Ownership
- For-Profit
- Chain
- Quality Life Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 1, 2011
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Pennsylvania.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Pennsylvania homes
Quality Life Services - Westmont carries 34 inspection points. That is fewer than 65% of Pennsylvania's 652 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Pennsylvania: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–8 pts
- 4★ 8–33 pts
- 3★ 33–65 pts
- 2★ 65–128 pts
- 1★ over 128 pts
Bars show every rated home in Pennsylvania by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
30 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Pharmacy Service7E
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- E
Ensure that residents are free from significant medication errors.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure that residents are free from significant medication errors.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Quality of Life and Care6E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide enough food/fluids to maintain a resident's health.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Assessment and Care Planning5E
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Freedom from Abuse, Neglect, and Exploitation4D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Respond appropriately to all alleged violations.
Resident Rights3E
- E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- E
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration2E
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2026-03-12
4 health deficiencies · 0 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2025-02-20
11 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2024-04-03
15 health deficiencies · 8 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 47 min of nursing staff time a day, 1 h of it from a registered nurse.
This home
3 h 47 min
Pennsylvania average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 42% of nursing staff and 55% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine12.2 pts better | 100.0% | 87.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.3 pts better | 100.0% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.6 pts better | 2.5% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms9.1 pts worse | 22.9% | 13.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.9 pts worse | 8.9% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication15.4 pts worse | 35.5% | 20.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.3 pts worse | 21.9% | 17.6% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.8 pts better | 11.6% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.3 pts better | 15.1% | 16.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.0% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.3 pts worse | 1.7% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.1 pts better | 17.9% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.7 pts better | 1.0% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine28.4 pts better | 99.2% | 70.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit10.8 pts worse | 20.3% | 9.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine20.8 pts better | 91.7% | 70.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.5 pts worse | 22.5% | 22.0% | 23.4% |
·
Who owns and runs it
23 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Carter, Christine | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Carter, Christine | Adp Of The SNF · Individual | 0% | 8 facilities |
| Encova Mutual Insurance Group Inc | Adp Of The SNF · Organization | 0% | 3 facilities |
| First National Insurance Agency | Adp Of The SNF · Organization | 0% | 3 facilities |
| Gray, Patrick | Adp Of The SNF · Individual | 0% | 4 facilities |
| Holsinger Pc | Adp Of The SNF · Organization | 0% | 5 facilities |
| Kania, Tonia | Adp Of The SNF · Individual | 0% | 8 facilities |
| Lopiccolo, Bonnie | Corporate Director · Individual | 0% | 6 facilities |
| Lopiccolo, Bonnie | Adp Of The SNF · Individual | 0% | 6 facilities |
| Markivich, Michael | Corporate Officer · Individual | 0% | 10 facilities |
| Mary Susan Tack-Yurek Irrevocable Trust | Adp Of The SNF · Organization | 0% | 3 facilities |
| Reckner, Emily | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Reckner, Emily | Adp Of The SNF · Individual | 0% | 1 facilities |
| Stafford, Lisa | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Stafford, Lisa | Adp Of The SNF · Individual | 0% | 7 facilities |
| Steven D Tack Irrevocable Trust | Adp Of The SNF · Organization | 0% | 3 facilities |
| Sugar Creek Rest, Inc | Adp Of The SNF · Organization | 0% | 4 facilities |
| Susan Tack Beardsley Irrevocable Trust | Adp Of The SNF · Organization | 0% | 3 facilities |
| Tack Family Ventures LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Tack, Steven | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Tack-Beardsley, Susan | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Tack-Yurek, Mary | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Westmont Woods, LP | Adp Of The SNF · Organization | 0% | 1 facilities |
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Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Have an enclosure around a vertical opening shaft.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems2E
- E
Meet requirements for the installation and maintenance of electrical systems.
- E
Have power receptacles that are properly grounded.
Egress1E
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Emergency Preparedness1C
- C
Address subsistence needs for staff and patients.
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Other homes nearby
-
Heritage Ridge Senior Living At Johnstown
Johnstown, PA · Continuum Healthcare · Abuse icon
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 37 min
- Fines
- $22,289
-
Hilltop Heights Health & Rehab Center
Johnstown, PA · Saber Healthcare Group
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 29 min
- Fines
- $0
-
Conemaugh Memorial Medical Center Tcu
Johnstown, PA · Lifepoint Health
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 6 h 25 min
- Fines
- $0